Fogal, Mitchell John
Fogal, Mitchell John is an sole proprietor health care provider with primary practice located at 560 S Maple St Ste 200 Suite 200, Waconia MN 55387-1757. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fogal, Mitchell John can be contacted via phone (952) 442-2163.Contact Information
Primary practice address
560 S Maple St Ste 200 Suite 200
Waconia MN 55387-1757
Phone: (952) 442-2163
Fax: (952) 442-5903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 11173 | Minnesota |
Profile Details
| NPI number | 1407101538 |
|---|---|
| LBN Legal business name | Fogal, Mitchell John |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2012 |
| Last updated | Jan 22nd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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